Organization
EASE OF MIND COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA MARTIN LCSW (OWNER)
(601) 927-7034
Entity
Organization
Contact information
Practice address
975 SWINNEA RDG STE 3, SOUTHAVEN, MS 38671-6013
(601) 927-7034
Mailing address
PO BOX 2129, SOUTHAVEN, MS 38671-2413
(601) 927-7034
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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